Signed Into Law
Signed June 20, 2025Effective 2025-06-20
HB3151

Regular Session

Relating to expedited credentialing of certain federally qualified health center providers by Medicaid managed care organizations.

Government Affairs & Regulatory Compliance Analysis

Business Impact

Who HB3151 Affects

Regulatory Priority: critical

Significant regulatory changes (effective 2025-06-20). Review with your legal and compliance teams to understand implications.

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Compliance Analysis

Key implementation requirements and action items for compliance with this legislation

Immediate Action Plan

Operational Changes Required

Strategic Ambiguities & Considerations

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Information presented is for general knowledge only and is provided without warranty, express or implied. Consult qualified government affairs professionals and legal counsel before making compliance decisions.

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Quick Reference

Frequently Asked Questions

Common questions about HB3151

Q

What does Texas HB3151 do?

HB3151 explicitly mandates that Medicaid Managed Care Organizations (MCOs) and managed care plan issuers extend "expedited credentialing" privileges to Federally Qualified Health Centers (FQHCs). This legislation eliminates prior ambiguity, allowing FQHCs to bill and receive in-network reimbursement for newly hired providers immediately upon submitting a complete credentialing application, rather than waiting months for final administrative approval.

Q

Who authored HB3151?

HB3151 was authored by Texas Representative Lacey Hull during the Regular Session.

Q

When was HB3151 signed into law?

HB3151 was signed into law by Governor Greg Abbott on June 20, 2025.

Q

Which agencies enforce HB3151?

HB3151 is enforced by Texas Department of Insurance (Commercial Managed Care Issuers) and Texas Health and Human Services Commission (Medicaid MCOs).

Q

How significant are the changes in HB3151?

The regulatory priority for HB3151 is rated as "critical". Businesses and organizations should review the legislation to understand potential impacts.

Q

What is the cost impact of HB3151?

The cost impact of HB3151 is estimated as "low". This may vary based on industry and implementation requirements.

Q

What topics does HB3151 address?

HB3151 addresses topics including civil remedies & liabilities, health care providers, human services, human services--medical assistance and insurance.

Q

What are the key dates for HB3151?

Key dates for HB3151: Effective date is 2025-06-20. Consult with legal counsel regarding applicability.

Q

What are the penalties under HB3151?

HB3151 establishes the following penalties: civil/contractual penalty of Difference between in-network and out-of-network reimbursement rates for If an applicant provider is granted provisional payment but subsequently fails to meet credentialing requirements, the MCO may recover the overpayment.; administrative prohibition penalty of Prohibition on balance billing for Providers are prohibited from charging enrollees for fees not paid by the plan if credentialing is denied (Hold Harmless provision).. Consult with legal counsel for specific applicability to your situation.

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Which Texas businesses are affected by HB3151?

HB3151 primarily affects healthcare providers and medical facilities, insurance companies and financial institutions. These businesses should review the legislation with their legal and compliance teams to understand potential impacts.

Legislative data provided by LegiScanLast updated: January 11, 2026